| NPI | 1265623375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: NY 013792-1) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: NY 017128) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2012-03-30 |